成田キャンパス
眼科学教室

眼科学教室

診療概要 Clinical overview

現在成田病院の眼科では眼疾患でお困りの患者様に対して、地域に開かれた大学病院として、最高水準の眼科診療の実践を心がけています。難治症例においても経験豊富な医師が在籍し、眼科のほぼ全ての疾患に対応しております。手術に関しても、眼科手術のほぼ全ての術式が行えるようになっています。

眼科手術件数でもっとも多い白内障に関しては、最新の超音波装置を導入し、小切開手術を中心に行なっています。眼内レンズも最新の眼内レンズを取り揃えており、患者さんのニーズに合わせ、多焦点レンズ、2焦点、単焦点いずれも選択可能です。成熟白内障や狭隅角眼、チン小帯脆弱眼などの難症例白内障に対しても経験豊富な術者が対応します。

緑内障は点眼治療が中心ですが、後手に回らないように、状況に応じて濾過手術も積極的に行なっています。SLTやcyclo G6などのレーザー治療も導入しており、治療の選択肢を広げることで、患者さんのニーズに合わせた最適最良の治療法を提案しています。また難治性緑内障に対してチューブシャント手術を行なっており、良好な成績を収めています。

網膜硝子体疾患は、最新の25ゲージ、27ゲージシステムの硝子体手術を導入し、硝子体出血、増殖糖尿病網膜症、黄斑円孔、黄斑前膜など、さまざまな網膜硝子体疾患の治療にあたっています。網膜剥離は緊急性の高い重篤な疾患ですが、再剥離を起こさないようバックル術も含め十分な手術選択検討を行い、良好な成績を収めています。

角膜移植は全層移植のみならず、表層移植、深層層状移植、角膜内皮移植といったパーツ移植を行うことで、拒絶反応や侵襲の少ない角膜移植を行なっています。羊膜移植の認定施設になっており、再発翼状片や遷延性上皮欠損、角膜穿孔症例に施行可能です。また培養自己口腔粘膜移植や培養自己輪部上皮移植などの再生医療製品を用いた眼表面再建術も施工可能な施設として認定されており、最先端の角膜診療を実践しています。

涙道疾患、腫瘍、眼瞼疾患にも力を入れています。涙道内視鏡を導入し、鼻涙管閉塞、難治性涙嚢炎にも手術治療を行なっており、良好な成績を収めています。眼瞼下垂や眼瞼内反の治療も得意としています。

As a university hospital open to the community, the Department of Ophthalmology at Narita Hospital is committed to provide the highest standard of ophthalmic care to patients suffering from ocular diseases. Experienced doctors are enrolled even in intractable cases, and we can handle almost all diseases in ophthalmology. We are also bale to perform almost all surgical procedures in ophthalmology.

For cataract, which has the largest number of ophthalmic surgeries, we have introduced the latest ultrasound equipment and mainly perform small incision surgery. We also have the latest intraocular lenses, and you can choose from multifocal lenses, bifocals, and monofocals according to your needs. Experienced surgeons can handle challenging cases of cataract, such as mature cataract, narrow angle eyes, and zonal fragile eyes.

Glaucoma is mainly treated with eye drops, but we also actively perform filtration surgery depending on the situation so that it does not go backwards. We have also introduced laser treatments such as SLT and cyclo G6, and by expanding treatment options, we are proposing the best and most suitable treatment that meets the patient's needs. I have also performed tube shunt surgery for intractable glaucoma with good results.

For vitreoretinal diseases, we have introduced the latest 25-gauge and 27-gauge system vitreous surgery to treat various vitreoretinal diseases such as vitreous hemorrhage, proliferative diabetic retinopathy, macular hole, and epiretinal membrane. Retinal detachment is a serious disease with high urgency, but in order to prevent re-detachment, we carefully considered surgical options, including buckle surgery, and achieved good results.

Corneal transplantation involves not only full-thickness transplantation, but also lamellar transplantation such as deep anterior lamellar keratoplasty (DALK) and corneal endothelial keratoplasty (DSAEK and DMEK). We are an accredited facility for amniotic membrane transplantation, which can be performed in cases of recurrent pterygium, persistent epithelial defect, and corneal perforation. In addition, we are certified as a facility that can perform ocular surface reconstruction using regenerative medicine products such as cultivated autologous oral mucosal epithelial cells transplantation and cultivated autologous limbal epithelial cells transplantation, and we practice cutting-edge corneal treatment.

We also focus on lacrimal duct diseases, ocular tumors, and eyelid diseases. We have introduced a lacrimal endoscope, and have also performed surgical treatment for nasolacrimal duct obstruction and refractory dacryocystitis, with good results. We also specialize in treating eyelid ptosis and eyelid entropion.